Provider Demographics
NPI:1376049726
Name:HERNANDEZ, JOSHUA NASSIR (MD)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:NASSIR
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:401 N EWING ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-3372
Mailing Address - Country:US
Mailing Address - Phone:740-687-6910
Mailing Address - Fax:740-689-9546
Practice Address - Street 1:618 PLEASANTVILLE RD STE 302
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-3373
Practice Address - Country:US
Practice Address - Phone:614-234-5000
Practice Address - Fax:614-234-3749
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-04
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35.1516642086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery